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首页> 外文期刊>Journal of Armed Forces Medical College, Bangladesh >Aneurysm Characteristics of Patients Presented with Sub-Arachnoid Haemorrhage in Combined Military Hospital Dhaka and Detected at Digital Substraction Angiography
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Aneurysm Characteristics of Patients Presented with Sub-Arachnoid Haemorrhage in Combined Military Hospital Dhaka and Detected at Digital Substraction Angiography

机译：达卡联合军事医院蛛网膜下腔出血患者的动脉瘤特征并在数字减影血管造影术中检测

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Introduction: Digital Substraction Angiography (DSA) is the gold standard for proper diagnosis and further evaluation of intra cranial aneurysm. Intracranial aneurysm rupture leading to Subarachnoid hemorrhage (SAH) may be associated with serious neurological sequelae or even mortality. According to international literature, only aneurysm 7 mm or aneurysm in the posterior circulation require treatment. Retrospective single center studies have however, disputed that the average size of ruptured aneurysms are 7 mm. Objective: To assess the aneurysm characteristics and demographics of patients who reported to CMH, Dhaka with SAH secondary to an aneurysm detected at Digital Subtraction Angiography (DSA). Materials and Methods: This retrospective study was conducted among the patients who presented with SAH more than 3 year period, from November 2013 to April 2017. All patients had undergone CT scan of brain in the department of Radiology & Imaging and DSA in the Cath Lab of Combined Military Hospital (CMH), Dhaka. Data about aneurysm characteristics, size and patient demographics were obtained from patients files. Results: A total of 74 patients underwent DSA and amongst them 32 patients had ruptured aneurysms. Ages ranging from 20 to 75 years (mean 45 years), little more male patients. The mean size of aneurysms was 5.8mm (range 1.2 mm to 20 mm) with 74.5% of aneurysms having size 7 mm. Most aneurysms were noted involving anterior circulation (72%) with the majority arising from the anterior communicating (ACom) artery (36.7%). Conclusion: An aneurysm is an abnormal dilatation of an artery. It can be found in almost any age and can rupture at size 7 mm. Those are commonly located in the anterior circulation. Findings of this study emphasize the importance of conducting the institutional reviews, to consider adapting the international treatment guidelines.
机译：简介：数字减影血管造影（DSA）是正确诊断和进一步评估颅内动脉瘤的金标准。颅内动脉瘤破裂导致蛛网膜下腔出血（SAH）可能与严重的神经系统后遗症甚至死亡有关。根据国际文献，只有> 7 mm的动脉瘤或后循环动脉瘤才需要治疗。然而，回顾性单中心研究对动脉瘤破裂的平均大小小于7毫米存有争议。目的：评估在数字减影血管造影（DSA）中发现的继发于动脉瘤的继发于达卡（CMH）达卡（CMH）并伴有SAH的患者的动脉瘤特征和人口统计学。材料和方法：这项回顾性研究是针对2013年11月至2017年4月患有SAH超过三年的患者进行的。所有患者均在Cath Lab的放射与影像学部门和DSA接受了脑部CT扫描达卡联合军事医院（CMH）。有关动脉瘤特征，大小和患者统计学的数据是从患者档案中获得的。结果：总共74例患者接受了DSA，其中32例动脉瘤破裂。年龄从20到75岁（平均45岁）不等，男性患者略多。平均动脉瘤大小为5.8mm（1.2mm至20mm），其中74.5％的动脉瘤大小小于7mm。注意到大多数动脉瘤累及前循环（72％），大部分来自前交通（ACom）动脉（36.7％）。结论：动脉瘤是动脉的异常扩张。它几乎可以在任何年龄发现，并且在<7 mm的尺寸下会破裂。这些通常位于前循环中。这项研究的结果强调进行机构审查的重要性，以考虑适应国际治疗指南。

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